Chapter Five

CHAPTER FIVE

1. Answer: d. The patient with hypoactive sexual desire disorder who is a female used to be called frigid or was said to have frigidity. The disorder is controversial and cannot exist unless the patient has distress about it. 2. Answer: a. The person with lifelong HSDD has a problem with hormones, medical problems or psychiatric disease. The person is least likely to have it because of a past bad experience with sex. 3. Answer: d. SSRIs used for depression can lead to hormone and neurotransmitter factors that contribute to sexual arousal disorder. 4. Answer: c. Each of these is used to treat sexual arousal disorder except for

SNRIs, which can sometimes be contributory to having the problem. 5. Answer: c. Diabetics have nerve-related and vascular reasons why they might have secondary anorgasmia so this should be looked for in evaluating the disorder. 6. Answer: a. The problem is associated with each of these things but it is not due to an anatomical problem affecting the vagina. 7. Answer: c. The problem with erectile dysfunction is found to be physical about 80 percent of the time, accounting for the fact that it is best treated with medications for the disorder. 8. Answer: a. Each of these is a factor in the development of secondary erectile dysfunction, except that most of them are physical and not psychological. 9. Answer: d. While there have been many theories suggested as a cause or premature ejaculation, the exact cause is currently unknown. 10. Answer: a. Each of these is a medical treatment used to manage premature ejaculation except for sildenafil, which is used to treat erectile dysfunction.